NCLEX CRUSADE ACADEMY TEST - 7 HEMATOLOGICAL - ONCOLOGICAL DISORDERS

1. Which blood product is primarily indicated for a patient experiencing severe anemia with hemoglobin below 78 g/dL?. Platelets. Fresh Frozen Plasma. Packed Red Blood Cells (PRBCs). Cryoprecipitate.

2. Which blood component is most appropriate for a patient with thrombocytopenia and platelet count below 10,000?. Whole blood. Platelets. Fresh frozen plasma. PRBCs.

3. Fresh Frozen Plasma (FFP) is most commonly used for which condition?. Severe anemia. Coagulation disorders such as DIC. Leukemia. Iron deficiency.

4. Cryoprecipitate is primarily administered to patients with which condition?. Hemophilia. Severe anemia. Leukopenia. Polycythemia.

5. Which blood type is considered the universal donor?. AB+. O-. B+. A+.

6. Which blood type is the universal recipient?. AB+. O+. A-. B-.

7. Which IV fluid must be used when administering blood products?. Lactated Ringer's. Dextrose 5%. 0.9% Normal Saline. Half normal saline.

8. Which IV solution should NEVER be used with blood transfusions?. Normal saline. Dextrose solution. Saline flush. Heparinized saline.

9. What gauge IV catheter is preferred for blood transfusion?. 18 gauge. 24 gauge. 26 gauge. 28 gauge.

10. During the first 15 minutes of a transfusion, the nurse should: Leave the room after starting infusion. Delegate monitoring to LPN. Remain with the patient. Increase the rate immediately.

11. The initial infusion rate during the first 15 minutes should be: 200 mL/hr. 2550 mL/hr. 150 mL/hr. 300 mL/hr.

12. What is the FIRST action if a transfusion reaction is suspected?. Notify physician. Stop the transfusion. Administer antihistamines. Increase IV fluids.

13. After stopping a transfusion due to suspected reaction, the nurse should: Flush blood through line. Keep vein open with normal saline using new tubing. Remove IV. Start antibiotics.

14. Which symptom is MOST associated with febrile nonIhemolytic transfusion reaction?. Severe hypotension. Sudden fever and chills. Hemoglobinuria. Airway obstruction.

15. Febrile nonIhemolytic transfusion reactions are caused by: RBC destruction. Antibodies reacting with donor leukocytes. Platelet deficiency. Electrolyte imbalance.

16. Which symptom suggests an acute hemolytic transfusion reaction?. Headache. Flank pain. Mild fever. Rash.

17. A key diagnostic finding in acute hemolytic reaction is: Hemoglobinuria. Hyperglycemia. Leukocytosis. Hypokalemia.

18. Which reaction can occur within seconds to minutes of transfusion?. Febrile reaction. Delayed hemolytic reaction. Anaphylactic reaction. Iron overload.

19. Which medication is first Iine treatment for anaphylactic transfusion reaction?. Diphenhydramine. Acetaminophen. Epinephrine. Corticosteroids.

20. Hodgkin lymphoma is confirmed by the presence of which cell?. Reed Sternberg cell. Neutrophil. Lymphoblast. Myelocyte.

21. Which symptom is considered a 'B symptom' of Hodgkin lymphoma?. Weight gain. Night sweats. Bradycardia. Hypertension.

22. The primary treatment for Hodgkin lymphoma is: Surgical removal. Chemotherapy. Vitamin therapy. Observation.

23. Which treatment may be used for localized lymphoma as an adjunct?. Radiation therapy. Antibiotics. Diuretics. Insulin.

24. In a patient with anemia, hypotension, and hypoxia after chemotherapy, the priority treatment is: IV fluids. PRBC transfusion. Platelet transfusion. Antibiotics.

25. Why would IV fluids alone not correct severe anemia?. They increase viscosity. They do not improve oxygen carrying capacity. They cause hemolysis. They reduce blood pressure.

26. Therapeutic communication with oncology patients should focus on: Giving false reassurance. Encouraging expression of fears. Avoiding discussion. Directing them to physicians.

27. Which statement reflects therapeutic communication?. Everything will be fine. Stay positive. Let's discuss what concerns you the most. Do not worry.

28. Which patient situation should NOT be delegated to an LPN or UAP?. Stable patient vitals. Blood transfusion monitoring. Routine medication administration. Chronic disease management.

29. According to delegation principles, unstable patients should be managed by: UAP. LPN. RN. Medical assistant.

30. A patient with airway, breathing, or circulation compromise requires care by: UAP. LPN. RN. Unit secretary.